Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11688 | Date 24/06/2024 |
| Token No | SM/24-25/17070 24/06/2024 | Serial | 001 |
| Patient Name | Mrs. SHRABANI MONDAL | Contact No | 9433112929 |
| Address | 150 T B STREET | Age | 39 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||